Examining the effects of a targeted noise reduction program in a neonatal intensive care unit

Wang, D; Aubertin, Cheryl; Barrowman, Nicholas J.; Moreau, Katherine; Dunn, Sandra; Harrold, JoAnn

doi:10.1136/archdischild-2013-304928

Cited by 33 publications

(29 citation statements)

References 37 publications

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“…In a study conducted in Canada, noise measurements during 1 month (pre-intervention) training protocol after the noise measurements for 2 months with alarm system the health personnel and the family was made two months measured by visual stimuli. The weekends were determined to have a quieter environment (p<0.001) and a decrease in noise level (p=0.01) compared to the weekdays (27). In the present study, a significant decrease was detected in the unit in RM with the use of education in addition to normal education (2.09-5.16 dBA).…”

Section: Discussionmentioning

confidence: 39%

“…In the present study, a significant decrease was detected in the unit in RM with the use of education in addition to normal education (2.09-5.16 dBA). Researchers reported that a 3 dB decrease was equivalent to a 50% change in noise levels because the decibel is a logarithmic unit (27). Twenty-fourhour noise measurements, both BE and AE, on Monday, Friday, and Sunday were compared in a study, and about a 3 dB decrease was detected using the education method (16).…”

Section: Discussionmentioning

confidence: 99%

“…Many methods have been used to reduce NICU. These; the use of ear plugs (19) and ear muff (20), the use of sound-absorbing panels (21)(22)(23), the use of susceptible alarm systems (24,25), the program for noise reduction, architectural configuration and training initiatives (16,26,27). One such intervention is through the education of personnel in the unit.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Effect of Education in Reducing Noise on Health Personnels’ Knowledge Level and Behavioral Change

İncekar¹,

Çeçen²,

Balcı³

et al. 2019

tybd

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ÖZ Amaç: Gürültü özellikle preterm yenidoğanların ve sağlık çalışanlarının sağlığını olumsuz yönde etkilediği için azaltılması ve kontrol altına alınması gereken bir durumdur. Amerikan Pediatri Akademisi gürültü seviyesinin saatlik 45 dB'nin altında olması gerektiğini bildirmiştir. Ancak yapılan birçok çalışmalarda, istenilen düzeye ulaşılamadığı görülmektedir. Araştırma, yenidoğan yoğun bakım ünitesindeki gürültü düzeyini ve gürültü kontrolü için verilen eğitimin etkisini değerlendirmek amacıyla yapıldı. Gereç ve Yöntem: Araştırma, bir hastanenin yenidoğan yoğun bakım ünitesi 3. düzeyinde çalışan doktor, hemşire ve personel üzerinde yapıldı. Tek grupta ön test-son test yarı-deneysel bir tasarım olarak yapıldı. Hastaneden etik kurul ve kurum izni alındı. Çalışmada araştırmacılar tarafından hazırlanan gürültü bilgi formu, gürültü kontrolü eğitim programı, gürültü gözlem formu ve ses ölçüm cihazı kullanıldı. Ünitede eğitim öncesi, eğitim sonrası ve eğitimden altı hafta sonra yapılan tekrarlayan ölçümde 7 gün ve 24 saat boyunca gürültü ölçümleri yapıldı. Bulgular: Gürültü seviyesinin, eğitim öncesine kıyasla eğitimden altı hafta sonrasında anlamlı derecede düşük olduğu bulundu (p<0,01). Sağlık çalışanlarının bilgi formundaki sorulara doğru cevap verme yüzdesinin de eğitimden altı hafta sonrasında eğitim öncesine kıyasla anlamlı derecede yüksek olduğu belirlendi (p<0,01). Doktor, hemşire ve personelin gürültü gözlem formuna göre değerlendirilmelerinde gözlemciler arası kappa uyum düzeyinin anlamlı olduğu bulundu (p<0.01). Sonuç: Araştırma sonucunda gürültünün azaltılmasında eğitim yönteminin etkili olduğu, ortam gürültü düzeyini azalttığı, sağlık çalışanlarının bilgi düzeyini arttırdığı ve çalışanların davranışlarını olumlu yönde etkilediği ayrıca gürültü gözlem formunun güvenilir olduğu sonucuna ulaşılabilir. Anahtar Kelimeler: Eğitim, gürültü, sağlık profesyoneli, yenidoğan, yoğun bakım ünitesi ABSTRACT Objective: Noise must be reduced and taken under control because negatively affects the health of health personnel and preterm newborns in particular. The American Academy of Pediatrics reported that noise levels must be kept below 45 dB. However, many studies demonstrated that the desired level could not be reached. This research was conducted with the aim of evaluating the level of noise in a neonatal intensive care unit (NICU), and the effect of given education on controlling the noise. Materials and Methods: This research was conducted with doctors (4), nurses (18), and personnel (4) who worked in the 3 rd level NICU of a university hospital. This research had a pre-test, post-test quasi-experimental design in a single group. Ethics board and institutional approval were granted from the hospital. A noise information form that was prepared by researchers, educational program on noise control, noise observation form, and noise measuring equipment were used in the study. Noise was measured for 24 hours over 7 days in repeated measurements in the unit before education, after education, and 6 weeks after the educatio...

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Section: Discussionmentioning

confidence: 39%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Effect of Education in Reducing Noise on Health Personnels’ Knowledge Level and Behavioral Change

İncekar¹,

Çeçen²,

Balcı³

et al. 2019

tybd

View full text Add to dashboard Cite

show abstract

“…However, studies across the last 10 years have shown that the levels are generally not attainable in a functioning NICU. 16,17 The original bases for existing recommendations included the minimisation of sleep disruption and interference in speech intelligibility among adults. 18 The signal-to-noise ratio of the speech intelligibility assumed a distance of 12 ft (3.7 m) between nurses in an open bay unit (i.e.…”

Section: Discussionmentioning

confidence: 99%

Characterising the ambient sound environment for infants in intensive care wards

Shoemark

Harcourt

Arnup

et al. 2016

J Paediatrics Child Health

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“…12 Many authors on this theme agree that the noise level in the NICU worldwide is still higher than recommended, even checking all the efforts of professionals in minimizing them. 1,[13][14] These data indicate the urgency to carry out educational activities of everyone involved in caring for a further reduction in noise levels in the NICU, and thus preserving the hearing acuity of newborns.…”

Section: Resultsmentioning

confidence: 99%

Aplicabilidade das ações preconizadas pelo método canguru Share applicability recommended by kangaroo method

Stelmak

Freire

2017

R. pesq. cuid. fundam. online

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Objective: To identify the prevalence of the actions recommended by the MC in practice care for preterm newborns and/or low birth weight, by the nursing staff of the intensive neonatal care which is state reference for the MC. Method: Quantitative descriptive research, conducted through by applying a structured questionnaire with 37 mid-level nursing professionals in the Neonatal Intensive Care Unit, from February to April 2014. Results: Welcoming, encouraging touch, breastfeeding and environmental control are the actions performed by the team, each having 97% of practical applicability, and actions less executed, the diaper in the lateral position (83%), and the bathroom wrapped in swaddling clothes (58%). Conclusion: This team performs the care of humanized actions as recommended by the MC, and understands the importance of care for the development of newborns. There is the need of permanent education process in service.

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Examining the effects of a targeted noise reduction program in a neonatal intensive care unit

Abstract: The baseline noise in the NICU consistently exceeds guidelines, but reductions in noise levels are achievable. Nonetheless, more work is needed to find the optimal NICU design and noise reduction strategy.

Cited by 33 publications

References 37 publications

The Effect of Education in Reducing Noise on Health Personnels’ Knowledge Level and Behavioral Change

The Effect of Education in Reducing Noise on Health Personnels’ Knowledge Level and Behavioral Change

Characterising the ambient sound environment for infants in intensive care wards

Aplicabilidade das ações preconizadas pelo método canguru Share applicability recommended by kangaroo method

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